Organization
GOOD SAMARITAN MENTAL HEALTH ASSOCIATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIR G ISHAK MD (OWNER)
(260) 418-7036
Entity
Organization
Contact information
Practice address
500 W VOTAW ST, PORTLAND, IN 47371-1322
(260) 418-7036
Mailing address
500 W VOTAW ST, PORTLAND, IN 47371-1322
(260) 418-7036
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
11/08/2018
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